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Cortisone Injections for Coccyx Pain in Central London and South London Coccyx pain cortisone injections at our clinic We are a leading cortisone injection clinic offering steroid injections for coccyx pain, also known as coccygodynia or coccydynia in medical terms. Steroid injections can bring significant relief from coccyx pain and bring you much-needed respite from your condition. We offer private injections at our Central London and South London clinics and also offer home visits in the South London area. A free telephone consultation is available to understand whether injections will be helpful and appropriate in your particular case, and to ensure your injection will be safe and give you maximum benefit. Booking is quick and easy, please see our book appointment page for more details. Types of Coccyx pain that are suitable for cortisone injection The coccyx is the small, triangular bone at the base of the spine, commonly referred to as the tailbone and can be a cause a low back pain . When it is painful, symptoms are often aggravated by sitting, standing, or any activity that puts pressure on the tailbone. Cortisone injections are appropriate treatments for coccyx pain and medical research has suggested that patients with coccygodynia for less than 6 months are more likely to improve. However there is no hard-and-fast rule for which conditions are suitable, as various factors need to be taken into consideration such as the severity of the condition or pain, overall health, the particular diagnosis and any contraindications to treatment. In order to ensure injection therapy is the right course of action in your particular case, we offer a free virtual consultation to get a quick picture of your health and the condition you are experiencing, and advise on whether steroid injections are a good course of action for you. At your appointment we will also carry out a full ultrasound-led diagnosis and assessment to ensure you are receiving the most appropriate treatment and best possible care. “Max is a highly trained, responsive, competent, communicative, and caring practitioner and person. He has successfully treated me for the management of knee pain and other arthritic conditions over the last 5-6 years enabling me to live a physically active life. I really cannot recommend Max highly enough.” Helena Davis, 55, Personal Assistant at Royal College of Psychiatrists What our patients say How do cortisone injections help with coccyx pain? Cortisone injections can rapidly reduce pain, bringing much-needed relief and increased mobility. If you have found your work or other daily activities involving prolonged sitting, standing, or anything increasing the pressure on the pelvic floor being hindered by your coccyx pain, a steroid injection can allow you the freedom to get back to work and normal life. Pain is not to be underestimated and when it becomes bad it can become debilitating and lead to depression. Coccyx pain can also lead to inactivity which can cause further problems such as postural and health issues, leading to even further inactivity, known as the chronic pain cycle . It is crucial to seek help when you are in pain and not simply try to live with it, as when left unchecked pain can cause gradual deterioration of both mental and physical health. The break from pain and other symptoms brought by steroid injections will also allow you to take other actions to proactively combat your problem. In particular, you will be able to follow a physiotherapist-prescribed exercise programme to deal with your condition at the root by building flexibility and strength in the pelvic floor. It is important you do any exercises your physiotherapist gives you to avoid your problem worsening in the future and potentially leading to more problems further down the line. All our treatments include a written report and guidance on moving forward with treating your problem following your injection, so that you can use the opportunity the injection gives to set yourself on a path to better health. We also include a personalised physiotherapy exercise plan wherever appropriate. For more information about cortisone injections and frequently asked questions, see our cortisone injections page . How much do cortisone injections cost? Our cortisone injections start at just £240 including initial telephone consultation, diagnostic ultrasound, ultrasound-guided injection, written report with care plan and exercise prescription if appropriate. See our fees What coccyx pain conditions do you typically treat with injections? Whilst there is no definitive list, coccyx pain conditions that we often see as candidates for injection therapy include: after an injury to the coccyx such as a fall or direct impact, prolonged sitting, especially on hard surfaces, activities that involve repetitive strain on the tailbone, such as cycling or rowing or after childbirth, sometime caused by trauma during delivery. These conditions are all often related to inflammation, whilst structural damage such as fractures or bone-related conditions are generally not treated with steroid injections. In all cases, a consultation with a medical professional is crucial in choosing the right course of treatment for your particular case. Are cortisone injections a long-term solution for coccyx pain? Corticosteroids have a short term effect (around 3 months) but a common belief is that cortisone injections do not address the underlying causes of your pain and will only stop the symptoms. First of all, your pain has a massive impact on your daily life and any relief, even temporary, can help significantly with your sleep, work or family activities, and as a result, improve your general well being and mental health. Fortunately, simple pathologies, even when causing severe pain, tend to improve overtime and by the time the steroid has stopped working, we expect that your body has healed by itself and the pain won't return. Secondly, the pain free period allowed by steroid injections (up to 3-6 months on average and sometime over 1 year) is a window that will be used to begin further treatment such as a prescribed exercise program or sessions of physiotherapy , in order to address other causative factors for your problems. In some cases steroid injections can also be a permanent solution by stopping chronic inflammation or disrupting your pain signal. More information about pain can be found on our blog . At your virtual consultation and first appointment , your clinician will ask questions and assess you to diagnose your problem and explain to you the options available. This will help you to understand how you can use the respite from pain which a corticosteroid injection provides, to work directly on your problem and provide you with a personalized exercise plan to avoid reliance on injections in the future. Your clinician All our injection treatments are carried out by our experienced physiotherapist and injection clinician, Maxence Legout. Max has over 15 years experience and holds a senior position in the NHS, where he carries out over 2000 ultrasound-guided injection & procedures every year. For more information please see our clinician page , or book a free online or telephone consultation to speak to Max directly. Read More What other treatments are available for coccyx pain? After a minor injury, such as a low grade impact or fall into your buttock from a low height, usually rest, ice and painkilling treatments like over-the-counter analgesic pills or gels are often sufficient. Cushions in U shape or circular such as donuts, are also helpful adjuncts to sit comfortably. For sever pain or when symptoms persist over 3 months and are not responding to cortisone injection, nerve blocks into the pelvic floor or surgery might be recommended. More information are available here . Rehabilitation with pelvic floor exercises are all also important, and your physiotherapist will guide you on what activities you should do or should avoid at each stage of your recovery. If you are suffering from coccyx pain, a diagnosis from a medical professional is an essential first step in understanding your problem and understanding what is the right course of treatment for you. MEDICAL REVIEW - The medical information on this page has been reviewed for accuracy by Maxence Legout, MSc, Physiotherapist . 10 New Cavendish St, London, W1G 8UL, England Our Central London clinic is based in The French Pharmacy in Marylebone. 3 min walk from Harley Street 8 min walk from Bond St tube 20 min from Victoria Pilates Studio in Lambeth 88 Atlantic Road, London, SW9 8PX, England 2 min from Brixton Underground Station 8 min from Pimlico via Victoria Line 15 min from Oxford Circus 27 min from King's Cross St Pancras Cortisone Injections at our Central London and South London Clinics We also provide home visits Book an Appointment Booking an appointment is easy. Simply choose an available slot for a free phone consultation and we'll do the rest. There are no long wait times and you can normally have your injection treatment within 3-4 days of first making contact. Book Appointment Now

Common Conditions Diagnosed by Musculoskeletal Diagnostic Ultrasound What is Musculoskeletal Ultrasound? Musculoskeletal diagnostic ultrasound is an advanced imaging tool used by our clinicians to evaluate muscles, tendons, ligaments, and joints. It’s commonly used to diagnose a variety of musculoskeletal conditions due to its non-invasive nature, real-time imaging capabilities and ability to detect abnormalities without the need for radiation. Here at Insight , we provide musculoskeletal ultrasound , as well as dry needling and cortisone injections . If you’re experiencing pain, swelling, limited mobility or frequent pain in your muscles, an ultrasound can help identify the root cause of the issue and help guide and tweak your treatment plan to your individual needs. To find out more about how we can diagnose and alleviate your painful symptoms, contact us now or book an appointment using the quick and easy online booking system . Today, we will take a look at some of the most common conditions that can be detected by this diagnostic tool. Tendonitis and Tendinopathy One of the most common conditions that can be diagnosed by musculoskeletal ultrasound is tendonitis, which is the inflammation of a tendon. Tendons are thick cords that connect muscles to bones. These connective tissues can be susceptible to overuse or injury, becoming inflamed and potentially leading to pain and reduced movement. Tendinopathy refers to the degeneration or damage of the tendon tissue itself, often caused by repetitive strain or aging. Diagnostic ultrasound is highly effective in visualising tendon inflammation, tears, or thickening, especially in areas like the rotator cuff (shoulder), Achilles tendon (ankle), and the tendons around the elbow. Bursiti Bursitis is an inflammation of the bursae, which are small fluid-filled sacs that cushion and reduce friction between muscles and bones. When these bursae become irritated or inflamed, they can cause pain, most commonly around the shoulder, hip or knee. Ultrasound can effectively detect bursitis by visualising the increased fluid in the bursa and identifying areas of swelling or irritation. It can help clinicians confirm the diagnosis and monitor the condition over time to assess treatment effectiveness and tweak treatment if necessary. “Max is a highly trained, responsive, competent, communicative, and caring practitioner and person. He has successfully treated me for the management of knee pain and other arthritic conditions over the last 5-6 years enabling me to live a physically active life. I really cannot recommend Max highly enough.” Helena Davis, 55, Personal Assistant at Royal College of Psychiatrists What our patients say Ligament Sprains and Tears Ligaments are the strong bands of tissue that connect bones to each other and provide added stability to the joints. A ligament sprain occurs when the ligament is overstretched or torn, often as a result of sudden trauma like a fall or twist, or perhaps due to overwork in a professional setting or at the gym. Our ultrasound can effectively detect ligament injuries such as sprains and tears by providing imaging of the soft tissue structures and highlighting areas of damage or weakness. The ability to assess ligaments in motion makes ultrasound especially useful for diagnosing injuries in the knee, ankle, and wrist. Muscle Strains Muscle strains, or pulled muscles can occur when muscle fibers are overstretched or torn. These injuries often result from sudden movements, overexertion or lifting heavy objects with improper form or technique. Musculoskeletal ultrasound allows for detailed imagery of muscle tissue, which can help identify tears, bruising and other damage to the muscles. It is particularly helpful in assessing the severity of strains and guiding rehabilitation by tracking healing progress. How much Barbotage cost? Our Ultrasound Guided Barbotage procedure start from £300 including initial telephone consultation, diagnostic ultrasound, written report with care plan and exercise prescription if appropriate. See our fees Arthritis and Joint Inflammation Ultrasound is increasingly used to diagnose various types of arthritis including rheumatoid arthritis, osteoarthritis and gout. In arthritis, inflammation of the joint lining (synovitis) can lead to pain, stiffness and swelling. Musculoskeletal ultrasound can detect early signs of joint inflammation and assess the extent of cartilage damage and bone erosion. Additionally, it can help to visualise fluid accumulation inside the joints, a common feature of inflammatory arthritis conditions. Carpal Tunnel Syndrome Carpal tunnel occurs when the median nerve, which is the nerve that runs through the wrist, becomes compressed. This can lead to numbness, tingling, pain in the hand and wrist and reduced movement. Our diagnostic ultrasound can effectively assess the median nerve's size and detect any abnormalities, such as swelling or compression in the carpal tunnel. Ultrasound can also be used to guide injections or other treatments for carpal tunnel. Your clinician All our injection treatments are carried out by our experienced physiotherapist and injection clinician, Maxence Legout. Max has over 15 years experience and holds a senior position in the NHS, where he carries out over 2000 ultrasound-guided injection & procedures every year. For more information please see our clinician page, or book a free telephone or online consultation to speak to Max directly. Read More Frozen Shoulder (Adhesive Capsulitis) Frozen shoulder is a condition characterized by stiffness and pain in the shoulder joint, which can severely limit range of motion. It is often characterised by inflammation and thickening of the shoulder capsule (the connective tissue surrounding the shoulder joint). Ultrasound can help diagnose frozen shoulder by revealing thickened tissue, fluid buildup and decreased joint mobility, aiding in both diagnosis and treatment planning. Here at Insight, our musculoskeletal diagnostic ultrasound is an essential tool for diagnosing a wide range of soft tissue injuries and conditions. From tendinitis and bursitis to muscle strains and ligament sprains, ultrasound offers a non-invasive, accurate and real-time view of your body’s internal structures. By utilising this diagnostic tool for early detection and in the accurate planning of treatment, musculoskeletal ultrasound enables clinicians to develop more effective and personalised treatment plans. If you're experiencing musculoskeletal pain or discomfort, contact us or book an appointment to find out more. Ultrasound may be the key to unlocking an accurate diagnosis and a faster, more effective recovery. MEDICAL REVIEW - The medical information on this page has been reviewed for accuracy by Maxence Legout, MSc, Physiotherapist . 10 New Cavendish St, London, W1G 8UL, England Our Central London clinic is based in The French Pharmacy in Marylebone. 3 min walk from Harley Street 8 min walk from Bond St tube 20 min from Victoria Pilates Studio in Lambeth 88 Atlantic Road, London, SW9 8PX, England 2 min from Brixton Underground Station 8 min from Pimlico via Victoria Line 15 min from Oxford Circus 27 min from King's Cross St Pancras Cortisone Injections at our Central London and South London Clinics We also provide home visits

Cortisone Injections for Osteoarthritis in Central London and South London Cortisone injections for osteoarthritis at our clinic We are a leading cortisone injection clinic offering steroid injections for all osteoarthritis pain related conditions such as knee or hip. Steroid injections can bring significant relief from musculoskeletal pain and bring you much-needed respite from your condition. We offer private injections at our Central London and South London clinics and also offer home visits in the South London area. A free telephone consultation is available to understand whether injections will be helpful and appropriate in your particular case, and your appointment also includes a diagnostic ultrasound consultation to ensure your injection will be safe and give you maximum benefit. Booking is quick and easy, please see our book appointment page for more details. What is Osteoarthritis ? Osteoarthritis (OA) is a form of arthritis (joint inflammation) characterized by the gradual degeneration of the cartilage, the smooth and protective tissue that covers the ends of bones in a joint. Over time, the bones in the joint may undergo changes, such as the formation of bone spurs (osteophytes) in response to the stress caused by the loss of cartilage. While osteoarthritis is not primarily an inflammatory condition like rheumatoid arthritis, inflammation may occur as a secondary response to cartilage damage leading to joint pain, stiffness, and reduced range of motion. These symptoms often worsen with activity and improve with rest. Weight-bearing joints such as the knees, hips, and spine are commonly affected, but osteoarthritis can occur in any joint. Several factors contribute to the development of osteoarthritis, including: Aging: The risk of osteoarthritis increases with age. Joint Overuse or Injury: Previous joint injuries or repetitive stress on a joint can contribute to the development of osteoarthritis. Genetics: There is a genetic component to osteoarthritis, and it may run in families. Obesity: Excess body weight can increase the risk of osteoarthritis, particularly in weight-bearing joints. For more resources on Osteoarthritis consult the reference website, Versus Arthritis . In order to ensure injection therapy is the right course of action in your particular case, we offer a free virtual consultation to get a quick picture of your health and the condition you are experiencing, and advise on whether steroid injections are a good course of action for you. At your appointment we will also carry out a full ultrasound-led diagnosis and assessment to ensure you are receiving the most appropriate treatment and best possible care. “Max is a highly trained, responsive, competent, communicative, and caring practitioner and person. He has successfully treated me for the management of knee pain and other arthritic conditions over the last 5-6 years enabling me to live a physically active life. I really cannot recommend Max highly enough.” Helena Davis, 55, Personal Assistant at Royal College of Psychiatrists What our patients say How do cortisone injections help with osteoarthritis? Cortisone injections rapidly reduce swelling and pain, bringing much-needed relief and increased mobility. If you have found your work or other daily activities such as family or general activity being hindered by your pain, a steroid injection can allow you the freedom to get back to work and normal life. Pain is not to be underestimated and when it becomes bad it can become debilitating and lead to depression. A reduction in mobility due to knee pain can also lead to inactivity which can cause further problems such as postural and health issues, leading to even further inactivity, known as the chronic pain cycle . It is crucial to seek help when you are in pain and not simply try to live with it, as when left unchecked pain can cause gradual deterioration of both mental and physical health. The break from pain and other symptoms brought by steroid injections will also allow you to take other actions to proactively combat your problem. In particular, you will be able to follow a physiotherapy-prescribed exercise programme to deal with your condition at the root by building flexibility and strength in the knee. It is important you do any exercises your physiotherapist gives you to avoid your problem worsening in the future and potentially leading to more problems further down the line. All our treatments include a written report and guidance on moving forward with treating your problem following your injection, so that you can use the opportunity the injection gives to set yourself on a path to better health. We also include a personalised physiotherapy exercise plan wherever appropriate. For more information about cortisone injections and frequently asked questions, see our cortisone injections page . How much do cortisone injections cost? Our cortisone injections start at just £240 including initial telephone consultation, diagnostic ultrasound, ultrasound-guided injection, written report with care plan and exercise prescription if appropriate. See our fees What joints with osteoarthritis do you typically treat with injections? Whilst there is no definitive list, joints that we often see as candidates for injection therapy include knee , hip, wrist and fingers (especially the base of the thumbs) or lumbar spine. In all cases, a consultation with a medical professional and sometime an ultrasound-led diagnosis is crucial in choosing the right course of treatment for your particular case. Are cortisone injections a long-term solution for osteoarthritis? Corticosteroids have a short term effect (around 3 months) but a common belief is that cortisone injections do not address the underlying causes of your pain and will only stop the symptoms. First of all, your pain has a massive impact on your daily life and any relief, even temporary, can help significantly with your sleep, work or family activities, and as a result, improve your general well being and mental health. Fortunately, simple pathologies, even when causing severe pain, tend to improve overtime and by the time the steroid has stopped working, we expect that your body has healed by itself and the pain won't return. Secondly, the pain free period allowed by steroid injections (up to 3-6 months on average and sometime over 1 year) is a window that will be used to begin further treatment such as a prescribed exercise program or sessions of physiotherapy , in order to address other causative factors for your problems. In some cases steroid injections can also be a permanent solution by stopping chronic inflammation or disrupting your pain signal. More information about pain can be found on our blog . At your virtual consultation and first appointment , your clinician will ask questions and assess you to diagnose your problem and explain to you the options available. This will help you to understand how you can use the respite from pain which a corticosteroid injection provides, to work directly on your problem and provide you with a personalized exercise plan to avoid reliance on injections in the future. Your clinician All our injection treatments are carried out by our experienced physiotherapist and injection clinician, Maxence Legout. Max has over 15 years experience and holds a senior position in the NHS, where he carries out over 2000 ultrasound-guided injection & procedures every year. For more information please see our clinician page, or book a free online or telephone consultation to speak to Max directly. Read More What other treatments are available for osteoarthritis? Management of osteoarthritis involves a combination of lifestyle modifications, pain management, and, in some cases, surgical interventions. For acute flare up episodes, relative rest, ice and painkilling treatments like over-the-counter analgesic pills or gels can be sufficient. Braces and supports can also be helpful adjuncts and maintaining a healthy weight can reduce stress on weight-bearing joints. Low-impact exercises are recommended to improve joint flexibility and strengthen the muscles around the affected joint are all also important as it modulates pain and promote healing with an exercise induced response in collagen turnover, blood flow and anti-inflammatory activity. Your physiotherapist will guide you on what activities you should do or should avoid at each stage of your recovery. If conservative management or steroid injection do not help, we also offer hyaluronic acid injections . For severe pain or when symptoms persist, surgical intervention such as joint replacement might be recommended. If you are suffering from osteoarthritis, a diagnosis from a medical professional is an essential first step in understanding your problem and decide what is the right course of treatment for you. MEDICAL REVIEW - The medical information on this page has been reviewed for accuracy by Maxence Legout, MSc, Physiotherapist . 10 New Cavendish St, London, W1G 8UL, England Our Central London clinic is based in The French Pharmacy in Marylebone. 3 min walk from Harley Street 8 min walk from Bond St tube 20 min from Victoria Pilates Studio in Lambeth 88 Atlantic Road, London, SW9 8PX, England 2 min from Brixton Underground Station 8 min from Pimlico via Victoria Line 15 min from Oxford Circus 27 min from King's Cross St Pancras Cortisone Injections at our Central London and South London Clinics We also provide home visits Book an Appointment Booking an appointment is easy. Simply choose an available slot for a free phone consultation and we'll do the rest. There are no long wait times and we can offer same day appointments. Book Appointment Now

Cortisone Injections for Tendonitis in Central London and South London Cortisone injections for tendonitis at our clinic We are a leading cortisone injection clinic offering steroid injections for pain from tendonitis, also known as tendinopathy or tendinosis in medical terms. Steroid injections can bring significant relief from your tendonitis pain and bring you much-needed respite from your condition. We offer private injections at our Central London and South London clinics and also offer home visits in the South London area. A free telephone consultation is available to understand whether injections will be helpful and appropriate in your particular case, and your appointment also includes a diagnostic ultrasound consultation to ensure your injection will be safe and give you maximum benefit. Booking is quick and easy, please see our book appointment page for more details. Types of tendonitis that are suitable for cortisone injections Tendonitis is a general term used to describe conditions that affect tendons, the thick, fibrous cords that connect muscles to bones. The term tendinopathy is preferable since tendonitis suggests an underlying inflammation which is not always present and tendinopathy encompasses a range of tendon disorders, including tendonitis and tendinosis. These conditions involve damage, degeneration, or inflammation of the tendons, typically due to overuse, injury, or aging. Tendonitis : Inflammation of a tendon which often occurs as a result of repetitive stress, overuse, or acute injuries. Common symptoms include pain, swelling, and tenderness at the site of the affected tendon. The pain is usually aggravated by movement. Tendinosis : Non-inflammatory condition characterized by degeneration of the tendon tissue. It is often associated with chronic overuse and may result in microscopic tears in the tendon. Tendinosis may present with pain, stiffness, and reduced function. Unlike tendonitis, there is not always inflammation. Calcific tendonitis : condition where calcium deposits form in a tendon, leading to inflammation, pain, and potential restriction of movement in the affected joint. It often occurs in the shoulder. Tendinopathy can affect any tendon in the body, but it commonly occurs in the tendons of the shoulders, elbows, wrists, hips, knees, and ankles. Causes and risk factors usually include repetitive stress or overuse, natural degeneration from age, incorrect or poor technique during physical activities, poor general health and conditioning, smoking or the presence of other condition such as diabetes, thyroid dysfunction or inflammatory diseases like rheumatoid arthritis. In order to ensure injection therapy is the right course of action in your particular case, we offer a free virtual consultation to get a quick picture of your health and the condition you are experiencing, and advise on whether steroid injections are a good course of action for you. At your appointment we will also carry out a full ultrasound-led diagnosis and assessment to ensure you are receiving the most appropriate treatment and best possible care. “Max is a highly trained, responsive, competent, communicative, and caring practitioner and person. He has successfully treated me for the management of knee pain and other arthritic conditions over the last 5-6 years enabling me to live a physically active life. I really cannot recommend Max highly enough.” Helena Davis, 55, Personal Assistant at Royal College of Psychiatrists What our patients say How do cortisone injections help with tendonitis? Cortisone injections can rapidly reduce pain, bringing much-needed relief and increased mobility. If you have found your work or other daily activities involving walking, running, gripping, or anything being hindered by your pain, a steroid injection can allow you the freedom to get back to work and normal life. Pain is not to be underestimated and when it becomes bad it can become debilitating and lead to depression. Pain can also lead to inactivity which can cause further problems such as postural and health issues, leading to even further inactivity, known as the chronic pain cycle . It is crucial to seek help when you are in pain and not simply try to live with it, as when left unchecked pain can cause gradual deterioration of both mental and physical health. The break from pain and other symptoms brought by steroid injections will also allow you to take other actions to proactively combat your problem. In particular, you will be able to follow a physiotherapist-prescribed exercise programme to deal with your condition at the root by stimulating healing of the tendon fibres. It is important you do any exercises your physiotherapist gives you to avoid your problem worsening in the future and potentially leading to more problems further down the line. All our treatments include a written report and guidance on moving forward with treating your problem following your injection, so that you can use the opportunity the injection gives to set yourself on a path to better health. We also include a personalised physiotherapy exercise plan wherever appropriate. For more information about cortisone injections and frequently asked questions, see our cortisone injections page . How much do cortisone injections cost? Our cortisone injections start at just £240 including initial telephone consultation, diagnostic ultrasound, ultrasound-guided injection, written report with care plan and exercise prescription if appropriate. See our fees What tendonitis do you typically treat with injections? Whilst there is no definitive list, tendons disorders that we often see as candidates for injection therapy include: De Quervain tenosynovitis Peroneal tendinopathy Long head of biceps tenosynovitis Posterior Tibial Tendon Dysfunction Tennis elbow & golfer's elbow Rotator cuff tendinopathy Gluteal tendinopathy Plantar fasciitis We offer corticosteroid or hyaluronic acid injection depending the type of condition and its location. In all cases, a consultation with a medical professional is crucial in choosing the right course of treatment for your particular case. Are cortisone injections a long-term solution for tendonitis? Corticosteroids have a short term effect (around 3 months) but a common belief is that cortisone injections do not address the underlying causes of your pain and will only stop the symptoms. First of all, your pain has a massive impact on your daily life and any relief, even temporary, can help significantly with your sleep, work or family activities, and as a result, improve your general well being and mental health. Fortunately, simple pathologies, even when causing severe pain, tend to improve overtime and by the time the steroid has stopped working, we expect that your body has healed by itself and the pain won't return. Secondly, the pain free period allowed by steroid injections (up to 3-6 months on average and sometime over 1 year) is a window that will be used to begin further treatment such as a prescribed exercise program or sessions of physiotherapy , in order to address other causative factors for your problems. In some cases steroid injections can also be a permanent solution by stopping chronic inflammation or disrupting your pain signal. More information about pain can be found on our blog . At your virtual consultation and first appointment , your clinician will ask questions and assess you to diagnose your problem and explain to you the options available. This will help you to understand how you can use the respite from pain which a corticosteroid injection provides, to work directly on your problem and provide you with a personalized exercise plan to avoid reliance on injections in the future. Your clinician All our injection treatments are carried out by our experienced physiotherapist and injection clinician, Maxence Legout. Max has over 15 years experience and holds a senior position in the NHS, where he carries out over 2000 ultrasound-guided injection & procedures every year. For more information please see our clinician page , or book a free online or telephone consultation to speak to Max directly. Read More What other treatments are available for tendonitis? After an acute injury, such as recent repetitive strain or overuse, usually rest, ice, activity modifications and painkilling treatments like over-the-counter medications or gels are often sufficient. Depending on the location, bracing or Supports can provide stability and reduce strain on the affected tendon. Giving the affected tendon some time to recover is often a key component of treatment and fortunately, most tendonitis will resolve naturally overtime. If symptoms do not settle after 6-12 weeks the following treatments can be alternative, complementary or subsequent to cortisone or hyaluronic acid injections . Physiotherapy and exercises is an important aspect of tendon rehabilitation as it modulates pain, helps strengthen muscles, improve flexibility, and promote healing with an exercise induced response in collagen turnover, blood flow, anti-inflammatory activity. Extracorporeal Shock Wave Therapy (ESWT) uses shock waves to stimulate healing in the affected tendon. Dry Needling or tendon fenestration is a procedure involving the creation of small openings in a tendon to promote healing. Barbotage for calcific tendonitis which involving the injection and aspiration of fluid into and out of a tendon to remove calcifications. Platelet-Rich Plasma (PRP) Therapy involves injecting a concentrated form of the patient's own blood platelets into the tendon to promote healing. There is currently limited evidence to supports its use in regard to costs. Surgery might be necessary for severe cases not responding to conservative management. More information can be found here . The specific treatment approach depends on the type and severity of tendinopathy, and it's crucial for individuals experiencing symptoms to seek professional medical advice for an accurate diagnosis and appropriate management MEDICAL REVIEW - The medical information on this page has been reviewed for accuracy by Maxence Legout, MSc, Physiotherapist . Book an Appointment Booking an appointment is easy. Simply choose an available slot for a free phone consultation and we'll do the rest. There are no long wait times and you can normally have your injection treatment within a few days of first making contact. Book Appointment Now 10 New Cavendish St, London, W1G 8UL, England Our Central London clinic is based in The French Pharmacy in Marylebone. 3 min walk from Harley Street 8 min walk from Bond St tube 20 min from Victoria Pilates Studio in Lambeth 88 Atlantic Road, London, SW9 8PX, England 2 min from Brixton Underground Station 8 min from Pimlico via Victoria Line 15 min from Oxford Circus 27 min from King's Cross St Pancras Cortisone Injections at our Central London and South London Clinics We also provide home visits

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Musculoskeletal Diagnostic Ultrasound Scan in Central London and South London Diagnostic ultrasound at our clinic We are a leading musculoskeletal clinic offering diagnostic ultrasound and ultrasound guided procedures such as cortisone injections or hyaluronic acid injections for musculoskeletal pathologies. We perform diagnostic ultrasound scans as part of a comprehensive and global assessment of your condition and your general health. We offer diagnostic ultrasound at our Central London and South London clinics and also offer home visits in the South London area. A free telephone consultation is available to understand whether an ultrasound scan will be helpful and appropriate in your particular case. Booking is quick and easy, please see our book appointment page for more details. What is an Ultrasound Scan examination ? Ultrasound examination, also called ultrasound imaging or ultrasound scan, is a non-invasive medical imaging technique that uses high-frequency sound waves to create real-time images of internal structures in the body. A transducer emits sound waves, and the echoes produced as they bounce off tissues are used to generate detailed images of the musculoskeletal system, which includes muscles, tendons, ligaments, nerves, and joints. Musculoskeletal ultrasound is often used as a dynamic imaging tool, allowing real-time visualization of moving structures which is not possible with X-ray, CT or MRI. “Max is a highly trained, responsive, competent, communicative, and caring practitioner and person. He has successfully treated me for the management of knee pain and other arthritic conditions over the last 5-6 years enabling me to live a physically active life. I really cannot recommend Max highly enough.” Helena Davis, 55, Personal Assistant at Royal College of Psychiatrists What our patients say What can be diagnosed with an ultrasound scan? Musculoskeletal ultrasound can be used to diagnose a variety of conditions affecting the muscles, tendons, ligaments, joints, and other soft tissues in the musculoskeletal system . Some of the common conditions that we diagnose and evaluate include: Tendon pathology like tendonitis , tendon tears or ruptures. Ligament Injuries such as sprains or tears. Joint swelling caused by effusion or synovitis (Inflammation of the joint lining). Muscle tears or strains. Nerve conditions and entrapment such as carpal tunnel syndrome , cubital tunnel syndrome or tarsal tunnel syndrome. Cysts and Masses such as ganglion cysts or lipomas . Bursitis commonly seen in shoulder, elbow, hip and knee pain . Arthritis such as osteoarthritis or inflammatory joint diseases like rheumatoid arthritis . Foreign Bodies Fractures and particularly stress fractures can be detected despite not being the best exam for that. Calcifications such as calcific tendonitis . We also use musculoskeletal ultrasound to guide needle placement during joint aspirations or injections, please visit our treatment page for more information. How much does an ultrasound scan cost? Our ultrasound scans start from £150 including initial telephone consultation, diagnostic ultrasound, written report with care plan and exercise prescription if appropriate. See our fees Do I need an ultrasound scan for my condition? An ultrasound scans is an invaluable tool to assess musculoskeletal pathologies and can make a significant difference in your treatment and recovery. However, you do not always need an ultrasound scan and a good clinical examination can be sufficient and as effective, or sometimes there is a better alternative such as a X-ray, CT or MRI. We assess individually each patient to ensure that this is the best examination and we offer a free virtual consultation to save you time and money. Please visit our appointment page for more details. Please note that we do not scan the following: 1. Spine and spinal nerves such as to assess sciatica. 2. Non-musculoskeletal related presentations like pregnancy, vascular or abdominal scans. 3. Children before 10 . Why should I book an ultrasound scan with Insight MSK? We typically perform diagnostic ultrasound scans as part of a comprehensive management of your problem. An ultrasound scan in isolation is only a single element in the diagnosis process, this need to be correlated to your general health, age, and information from a clinical and physical assessment. This requires several skills and the ability to deal with complex and multiple information which often need the expertise from different specialists and therefore multiple appointments, travel, fees... We offer all these services together to give you a prompt single point of contact to assess, diagnose and manage your condition thanks to our unique and vast experience in musculoskeletal medicine. Your clinician All our injection treatments are carried out by our experienced physiotherapist and injection clinician, Maxence Legout. Max has over 15 years experience and holds a senior position in the NHS, where he carries out over 2000 ultrasound-guided injection & procedures every year. For more information please see our clinician page, or book a free telephone or online consultation to speak to Max directly. Read More Is an ultrasound scan painful or risky? No, ultrasound scans are generally not painful but some positions might be temporarily uncomfortable. A gel is applied to the skin to enhance the transmission of sound waves and hence limits the need to compress the probe with most individuals feeling only mild pressure. Ultrasound scans are harmless examinations due to the absence of radiations. To ensure the highest safety of our patients we practice in line with the recommendations of The British Medical Ultrasound Society . We encourage you to communicate any concerns with us to ensure a comfortable and informative experience. MEDICAL REVIEW - The medical information on this page has been reviewed for accuracy by Maxence Legout, MSc, Physiotherapist . 10 New Cavendish St, London, W1G 8UL, England Our Central London clinic is based in The French Pharmacy in Marylebone. 3 min walk from Harley Street 8 min walk from Bond St tube 20 min from Victoria Pilates Studio in Lambeth 88 Atlantic Road, London, SW9 8PX, England 2 min from Brixton Underground Station 8 min from Pimlico via Victoria Line 15 min from Oxford Circus 27 min from King's Cross St Pancras Cortisone Injections at our Central London and South London Clinics We also provide home visits Book an Appointment Booking an appointment is easy, t here are no long wait times and you can normally have your injection treatment soon after first making contact. Book Appointment Now

Tennis Elbow & Golfer's Elbow Injections in Central London and South London Cortisone injections for elbow pain in South London We are a leading musculoskeletal clinic offering injections for tennis elbow and golfer’s elbow. Our treatments can bring significant relief from musculoskeletal pain and bring you much-needed respite from your condition. We offer private injections at our Central London and South London Clinics and also offer home visits in the South London area. A free telephone consultation is available to understand whether injections will be helpful and appropriate in your particular case, and your appointment also includes a diagnostic ultrasound consultation to ensure your injection will be safe and give you maximum benefit. Booking is quick and easy, please see our book appointment page for more details. What are tennis elbow and golfer’s elbow? Tennis and golfer’s elbow are common tendinopathies affecting tendons located on outer and inner sides of the elbow (epicondyles). They are commonly referred as epicondylitis or epicondylopathy. Tennis elbow (lateral epicondylitis) This is the more common type of epicondylitis which involves tendons of the lateral (outer) epicondyle of the humerus, the bone of the upper arm that forms the elbow joint, and in particular the extensor carpi radialis brevis tendon . Despite its name, tennis elbow is not limited to tennis players; it can affect anyone who engages in activities that involve repetitive gripping, wrist extension or vibrating handheld tools. Overuse of the forearm muscles can cause stress of the the tendon attachment at the lateral epicondyle, causing pain and inflammation. Common symptoms include pain on the outer side of the elbow, weakness in the forearm, and difficulty with gripping. More information on tennis elbow can be found here . Golfer’s elbow (medial epicondylitis) Golfer's elbow is less common than tennis elbow but has a similar mechanism. It is caused by overuse of the muscles and tendons on the inner side of the forearm, leading to irritation and inflammation at the medial epicondyle. Activities such as golfing, throwing, and repetitive gripping can contribute to this condition. Symptoms include pain on the inner side of the elbow, weakness, and difficulty with certain hand and wrist movements. “Max is a highly trained, responsive, competent, communicative, and caring practitioner and person. He has successfully treated me for the management of knee pain and other arthritic conditions over the last 5-6 years enabling me to live a physically active life. I really cannot recommend Max highly enough.” Helena Davis, 55, Personal Assistant at Royal College of Psychiatrists What our patients say How injections can help with tennis elbow and golfer's elbow? Cortisone injections can rapidly reduce pain, bringing much-needed relief and increased mobility. If you have found your work or other daily activities involving gripping, throwing or anything being hindered by your pain, a steroid injection can allow you the freedom to get back to work and normal life. Pain is not to be underestimated and when it becomes bad it can become debilitating and lead to depression. Elbow pain can also lead to inactivity which can cause further problems such as postural and health issues, leading to even further inactivity, known as the chronic pain cycle . It is crucial to seek help when you are in pain and not simply try to live with it, as when left unchecked pain can cause gradual deterioration of both mental and physical health. The break from pain and other symptoms brought by steroid injections will also allow you to take other actions to proactively combat your problem. In particular, you will be able to follow a physiotherapist-prescribed exercise programme to deal with your condition at the root by stimulating healing of the tendon fibres. It is important you do any exercises your physiotherapist gives you to avoid your problem worsening in the future and potentially leading to more problems further down the line. All our treatments include a written report and guidance on moving forward with treating your problem following your injection, so that you can use the opportunity the injection gives to set yourself on a path to better health. We also include a personalised physiotherapy exercise plan wherever appropriate. For more information about cortisone injections and frequently asked questions, see our cortisone injections page . How much do cortisone injections cost? Our cortisone injections start at just £240 including initial telephone consultation, diagnostic ultrasound, ultrasound-guided injection, written report with care plan and exercise prescription if appropriate. See our fees Are there other conditions which can affect the elbow? It is a common misconception that all elbow pain is a tennis elbow or golfer’s elbow, but there are many other conditions which can affect the elbow and cause similar pain. These includes tendinopathy, bicipital or olecranon bursitis , osteoarthritis , cubital and radial nerve syndrome , strain and sprain and bone injuries such as fractures and dislocations. A diagnosis from a medical professional is essential to understand what is causing your elbow pain. This ensures you can be provided with the correct treatment to address the pain and prevent worse issues moving forward. Your clinician All our injection treatments are carried out by our experienced physiotherapist and injection clinician, Maxence Legout. Max has over 15 years experience and holds a senior position in the NHS, where he carries out over 2000 ultrasound-guided injection & procedures every year. For more information please see our clinician page , or book a free online or telephone consultation to speak to Max directly. Read More Are cortisone injections a long-term solution for elbow pain? Corticosteroids have a short term effect (around 3 months) but a common belief is that cortisone injections do not address the underlying causes of your pain and will only stop the symptoms. First of all, your pain has a massive impact on your daily life and any relief, even temporary, can help significantly with your sleep, work or family activities, and as a result, improve your general well being and mental health. Fortunately, simple pathologies, even when causing severe pain, tend to improve overtime and by the time the steroid has stopped working, we expect that your body has healed by itself and the pain won't return. Secondly, the pain free period allowed by steroid injections (up to 3-6 months on average and sometime over 1 year) is a window that will be used to begin further treatment such as a prescribed exercise program or sessions of physiotherapy , in order to address other causative factors for your problems. In some cases steroid injections can also be a permanent solution by stopping chronic inflammation or disrupting your pain signal. More information about pain can be found on our blog . At your virtual consultation and first appointment , your clinician will ask questions and assess you to diagnose your problem and explain to you the options available. This will help you to understand how you can use the respite from pain which a corticosteroid injection provides, to work directly on your problem and provide you with a personalized exercise plan to avoid reliance on injections in the future. Are there other treatments for tennis elbow & golfer's elbow? After an acute injury, such as recent repetitive strain or overuse, usually rest, ice, activity modifications and painkilling treatments like over-the-counter medications or gels are often sufficient. Depending on the location, bracing or Supports can provide stability and reduce strain on the affected tendon. Giving the affected tendon some time to recover is often a key component of treatment and fortunately, most tendonitis will resolve naturally overtime. If symptoms do not settle after 6-12 weeks the following treatments can be alternative, complementary or subsequent to cortisone or hyaluronic acid injections . Physiotherapy and exercises is an important aspect of tendon rehabilitation as it modulates pain, helps strengthen muscles, improve flexibility, and promote healing with an exercise induced response in collagen turnover, blood flow, anti-inflammatory activity. Extracorporeal Shock Wave Therapy (ESWT) uses shock waves to stimulate healing in the affected tendon. Dry Needling or tendon fenestration is a procedure involving the creation of small openings in a tendon to promote healing. Barbotage for calcific tendonitis which involving the injection and aspiration of fluid into and out of a tendon to remove calcifications. Platelet-Rich Plasma (PRP) Therapy involves injecting a concentrated form of the patient's own blood platelets into the tendon to promote healing. There is currently limited evidence to supports its use in regard to high costs. Surgery might be necessary for severe cases not responding to conservative management. The specific treatment approach depends on the type and severity of tendinopathy, and it's crucial for individuals experiencing symptoms to seek professional medical advice for an accurate diagnosis and appropriate management MEDICAL REVIEW - The medical information on this page has been reviewed for accuracy by Maxence Legout, MSc, Physiotherapist . 10 New Cavendish St, London, W1G 8UL, England Our Central London clinic is based in The French Pharmacy in Marylebone. 3 min walk from Harley Street 8 min walk from Bond St tube 20 min from Victoria Pilates Studio in Lambeth 88 Atlantic Road, London, SW9 8PX, England 2 min from Brixton Underground Station 8 min from Pimlico via Victoria Line 15 min from Oxford Circus 27 min from King's Cross St Pancras Cortisone Injections at our Central London and South London Clinics We also provide home visits Book an Appointment Booking an appointment is easy. Simply choose an available slot for a free phone consultation and we'll do the rest. There are no long wait times and you can normally have your injection treatment within 3-4 days of first making contact. Book Appointment Now

Ultrasound Guided Cortisone Injections in Central London and South London Cortisone Injections at our clinic We are a leading musculoskeletal clinic offering diagnostic ultrasound and ultrasound guided procedures such as cortisone injections or hyaluronic acid injections for musculoskeletal pathologies. We perform all procedures as part of a comprehensive and global management of your condition. We offer our services at our Central London and South London clinics and also offer home visits in the South London area. A free telephone consultation is available to understand whether an ultrasound scan will be helpful and appropriate in your particular case. Booking is quick and easy, please see our book appointment page for more details. What are Cortisone Injections? Although “cortisone" is often used as a general term, it refers to a class of hormones called corticosteroids which are natural anti-inflammatory substances produced by the adrenal glands (above the kidneys). We do not actually inject cortisone as per say as it is short acting and less potent, but we use medications of the same family such as Triamcinolone Acetonide, Methylprednisolone or Dexamethasone which last longer and are more effective to manage inflammation, decrease pain, swelling and stiffness. We usually combine these injections with local anaesthetic drugs such as lidocaine , to reduce the discomfort of the injection and limit pain afterward. The main effects of corticosteroids injections are: Anti-Inflammatory Effects where corticosteroids act by inhibiting the production and release of pro-inflammatory substances, such as cytokines and prostaglandins. This helps to reduce the inflammatory response at the site of injection. Suppression of the Immune Response meaning that corticosteroids can dampen an overactive immune response present in some pathologies, which contributes to inflammation and tissue damage. Reduction of Swelling (oedema) and accumulation of fluid in the affected tissues often caused by inflammation. Corticosteroids can help reduce this swelling by stabilizing cell membranes and decreasing the permeability of blood vessels, thereby limiting the leakage of fluids into the tissues. Pain reduction as a secondary effect by reducing inflammation, swelling, and immune response. “Max is a highly trained, responsive, competent, communicative, and caring practitioner and person. He has successfully treated me for the management of knee pain and other arthritic conditions over the last 5-6 years enabling me to live a physically active life. I really cannot recommend Max highly enough.” Helena Davis, 55, Personal Assistant at Royal College of Psychiatrists What our patients say What can be treated with ultrasound guided cortisone injections? Cortisone injections have be used for decades as they are easily available and effective to manage a wide range of musculoskeletal conditions. Extensive medical research suggests that ultrasound guidance is more effective and decrease the risk of complications. Some of the common conditions that we treat include: Arthritis such as osteoarthritis . Tendon injuries like tendonitis or tendon tears. Nerve conditions and entrapment such as carpal tunnel syndrome , cubital tunnel syndrome or tarsal tunnel syndrome. Ganglion cysts . Bursitis commonly seen in shoulder, elbow, hip and knee pain . How often do I need to have cortisone injections done? The frequency of corticosteroid injections will depends on various factors, including the specific medical condition being treated, previous response to the injections, and individual features. Prior to repeat an injection, we will also consider the severity and chronicity of the condition, the location of the injection, and any potential side effects associated with repeated use. There is no risk of becoming addicted to corticosteroids if you have repeated procedures but there is some evidence that repeated injections may cause further joint degeneration (especially on the knee) or cause tendon damage . In some other conditions like trigger fingers, repeated injection are known to be safe . These side effects are more likely to occur if there are other risks factors (obesity, smoking...) and the need for repeated injection will be assessed on a case by case basis. If further injections are not recommended, we will discuss other alternatives such as hyaluronic acid or Arthrosamid® injections . How much do ultrasound guided cortisone injections cost? Our ultrasound guided injections start from £240 including initial telephone consultation, diagnostic ultrasound, written report with care plan and exercise prescription if appropriate. See our fees Are cortisone injections a long-term solution for my condition? Corticosteroids have a short term effect (around 3 months) but a common belief is that cortisone injections do not address the underlying causes of your pain and will only stop the symptoms. First of all, your pain has a massive impact on your daily life and any relief, even temporary, can help significantly with your sleep, work or family activities, and as a result, improve your general well being and mental health. Fortunately, simple pathologies, even when causing severe pain, tend to improve overtime and by the time the steroid has stopped working, we expect that your body has healed by itself and the pain won't return. Secondly, the pain free period allowed by steroid injections (up to 3-6 months on average and sometime over 1 year) is a window that will be used to begin further treatment such as a prescribed exercise program or sessions of physiotherapy , in order to address other causative factors for your problems. In some cases steroid injections can also be a permanent solution by stopping chronic inflammation or disrupting your pain signal. More information about pain can be found on our blog . At your virtual consultation and first appointment , your clinician will ask questions and assess you to diagnose your problem and explain to you the options available. This will help you to understand how you can use the respite from pain which a corticosteroid injection provides, to work directly on your problem and provide you with a personalized exercise plan to avoid reliance on injections in the future. Why should I book my ultrasound guided cortisone injection at Insight MSK? All our procedures and diagnostics are part of a comprehensive management of your condition in line with recent scientific evidence. All injections are ultrasound guided, which have been proven to be more effective and are all preceded by a thorough clinical examination. We do not only diagnose or "fix" problems but we strive to understand the context and causative factors which have led to your condition in order to prevent re-occurrence. These require several skills and the ability to deal with complex and multiple information which often need the expertise from different specialists and therefore multiple appointments, travel, fees... We offer all these services together to give you a prompt single point of contact to assess, diagnose and manage your condition thanks to our unique and vast experience in musculoskeletal medicine. Your clinician All our injection treatments are carried out by our experienced physiotherapist and injection clinician, Maxence Legout. Max has over 15 years experience and holds a senior position in the NHS, where he carries out over 2000 ultrasound-guided injection & procedures every year. For more information please see our clinician page, or book a free telephone consultation to speak to Max directly. Read More What are possible side effects of cortisone injections? Fortunately, serious side effects to corticosteroid injections are rare and reactions are generally mild and short-lived. but like any drug or medical intervention there are risks such as anaphylaxis (life-threatening allergic reaction, which is extremely rare in response to injected steroid or local anaesthetics), infection (1 out of 50 000 patients), but more likely to occur if you suffer from diabetes, rheumatoid arthritis, Chronic Kidney Disease, HIV or if you take intra venous drugs. Less serious reaction can occur such as a temporary increased pain (20% of the cases), cosmetic changes to the skin including depigmentation or localized fat atrophy around the injection site, bruising around the injection site (more likely, if you are on blood thinning medications), tendon rupture, increased cartilage degeneration, numbness or tingling, abnormal vaginal bleeding, temporary facial flushing, mood disturbances or depression (if you or your family have a history of psychosis or bipolar disorders) and of course failure to work. Your clinician is trained to recognise and deal with severe immediate reaction and we are equipped with the appropriate first aid equipment. To minimise risks of side effects we advise rest for 48h (including driving for lower limb procedures) and you will be asked to wait up to 20 minutes in the waiting area. We encourage you to communicate any concerns with us to ensure a comfortable and informative experience. Can I have a cortisone injection while I am pregnant or breastfeeding? Cortisone injections during breastfeeding is safe. No side effects on breastfed infant has never been reported for any corticosteroids. The amount of drug passing through the breast milk is very small and will no cause any harm to your baby. However, reduced maternal milk production has been reported. More information can be accessed on the Breastfeeding Network or the Drugs & Lactation database (LactMed®). Of course we will always weigh benefits against potential risks, considering factors like the specific condition being treated, and the overall health of the mother and baby. As with any treatment, the lowest effective dose for the shortest duration is preferred. Pregnant women are often subject to various musculoskeletal conditions which are commonly well managed with cortisone injections such as Carpal Tunnel Syndrome, De Quervain Tenosynovitis or sacroiliitis. Corticosteroids are known to cross the placenta with systemic administration such as oral or intravascular drugs. However there is little support that it increases any developmental defect on the baby. Despite non-systemic corticosteroids, which means drugs not reaching the entire body circulation such as cortisone injections inside a joint, are not considered absolute contraindication by recent medical research , we do not offer injections during pregnancy. If you are suffering from a MSK condition during your pregnancy, a diagnosis from a medical professional is an essential first step in understanding your problem and understanding what is the right course of treatment for you since effective alternative management can be offered. MEDICAL REVIEW - The medical information on this page has been reviewed for accuracy by Maxence Legout, MSc, Physiotherapist . 10 New Cavendish St, London, W1G 8UL, England Our Central London clinic is based in The French Pharmacy in Marylebone. 3 min walk from Harley Street 8 min walk from Bond St tube 20 min from Victoria Pilates Studio in Lambeth 88 Atlantic Road, London, SW9 8PX, England 2 min from Brixton Underground Station 8 min from Pimlico via Victoria Line 15 min from Oxford Circus 27 min from King's Cross St Pancras Cortisone Injections at our Central London and South London Clinics We also provide home visits Book an Appointment Booking an appointment is easy, t here are no long wait times and you can normally have your injection treatment soon of first making contact. Book Appointment Now

Ultrasound Guided Hyaluronic Acid Injections in Central London and South London Hyaluronic Acid Injections at our clinic We are a leading musculoskeletal clinic offering diagnostic ultrasound and ultrasound guided procedures such as hyaluronic acid injections for musculoskeletal pathologies. We perform all procedures as part of a comprehensive and global management of your condition. We offer our services at our Central London and South London clinics and also offer home visits in the South London area. A free telephone consultation is available to understand whether an ultrasound scan will be helpful and appropriate in your particular case. Booking is quick and easy, please see our book appointment page for more details. What is Hyaluronic Acid? Hyaluronic acid is a naturally occurring substance found in the human body and present in various tissues and fluids, with high concentrations found in skin, eyes, and synovial fluid within joints. In joints and tendons, hyaluronic acid ensures normal, painless movement due to its lubricating and shock absorbing properties. It is also responsible for the nutrition of the cartilage. The production of hyaluronic acid in the body can decrease with age, and this reduction is associated with changes in joint health. Hyaluronic acid injections have been proven safe and effective for chronic moderate osteoarthritis and tendon disorders. We typically recommend these injections for knees and hip osteoarthritis or patellar, Achilles and posterior tibial tendinopathy. We use Ostenil Plus and Ostenil Tendon. “Max is a highly trained, responsive, competent, communicative, and caring practitioner and person. He has successfully treated me for the management of knee pain and other arthritic conditions over the last 5-6 years enabling me to live a physically active life. I really cannot recommend Max highly enough.” Helena Davis, 55, Personal Assistant at Royal College of Psychiatrists What our patients say What can be treated with ultrasound guided cortisone injections? Hyaluronic acid injections, also called viscosupplementation, is injected as a gel. Extensive medical research suggests that ultrasound guidance is more effective and decrease the risk of complications. The conditions that we treat include osteoarthritis especially for knee pain and tendon injuries like tendonitis or tenosynovitis of the Long Head of Biceps or posterior tibial tendon. How do Hyaluronic acid injections work ? Mechanism of action and effects on joints and tendons is multiple but here are some general considerations: Joint Lubrication by supplementing the natural hyaluronic acid in the joint and potentially reducing friction and pain during joint movement. Anti-Inflammatory Properties. Stimulation of Tissue Healing by promoting the cellular activities of fibroblasts. Tendon Health by promoting tendon gliding, reducing adhesion as well as improving tendon architectural organisation. How much do ultrasound Hyaluronic Acid injections cost? Our hyaluronic acid injections cost £320 including initial telephone consultation, diagnostic ultrasound, written report with care plan and exercise prescription if appropriate. See our fees How often do I need to have hyaluronic acid injections? The frequency of hyaluronic acid injections depends on various factors, including the specific medical condition being treated, individual response to the injections, and individual features. Typically, we perform a single injection per joint and two injection with one week in between for tendons. Prior to repeat an injection, we will consider the severity and chronicity of the condition, the location of the injection, and any potential side effects associated with repeated use. There is no risk of becoming addict to hyaluronic acid if you have repeated procedures. Hyaluronic acid injections can also be combined with co rticosteroid injections in some occasions. Why should I book my hyaluronic acid injection at Insight MSK? All our procedures and diagnostics are part of a comprehensive management of your condition in line with recent scientific evidence. All injections are ultrasound guided, which have been proven to be more effective and are all preceded by a thorough clinical examination. We do not only diagnose or "fix" problems but we strive to understand the context and causative factors which have led to your condition in order to prevent re-occurrence. These require several skills and the ability to deal with complex and multiple information which often need the expertise from different specialists and therefore multiple appointments, travel, fees... We offer all these services together to give you a prompt single point of contact to assess, diagnose and manage your condition thanks to our unique and vast experience in musculoskeletal medicine. Your clinician All our injection treatments are carried out by our experienced physiotherapist and injection clinician, Maxence Legout. Max has over 15 years experience and holds a senior position in the NHS, where he carries out over 2000 ultrasound-guided injection & procedures every year. For more information please see our clinician page, or book a free telephone or online consultation to speak to Max directly. Read More What are the contraindications and risks associated to Hyaluronic Acid injections? Hyaluronic acid injections are extremely safe and very rarely cause side effects. However, like with any medical intervention, there are risks of allergic reactions, infection, bruising, feeling of heat, redness, joint swelling, tachycardia, hypertension, hypotension, shortness of breath, nausea, itchiness or temporary increased pain after the procedure. Hyaluronic acid preparations used in our clinic have been obtained by biofermentation and contain no animal protein but Ostenil Tendon contains mannitol which helps to stabilise the hyaluronic acid. If you have known allergy to Ostenil components it's an absolute contraindication. Other contraindications includes patients under 18, pregnant and breastfeeding women. We also do not inject hyaluronic acid on patients with rheumatoid arthritis or ankylosing spondylitis due to the absence of clinical studies. For more information, the manufacturer leaflets are available here for Ostenil Tendons and here for Ostenil Plus. MEDICAL REVIEW - The medical information on this page has been reviewed for accuracy by Maxence Legout, MSc, Physiotherapist . 10 New Cavendish St, London, W1G 8UL, England Our Central London clinic is based in The French Pharmacy in Marylebone. 3 min walk from Harley Street 8 min walk from Bond St tube 20 min from Victoria Pilates Studio in Lambeth 88 Atlantic Road, London, SW9 8PX, England 2 min from Brixton Underground Station 8 min from Pimlico via Victoria Line 15 min from Oxford Circus 27 min from King's Cross St Pancras Cortisone Injections at our Central London and South London Clinics We also provide home visits Book an Appointment Booking an appointment is easy. Simply choose an available slot for a free phone consultation and we'll do the rest. There are no long wait times and you can normally have your injection treatment within 3-4 days of first making contact. Book Appointment Now

Cortisone Injections for Carpal Tunnel Syndrome in Central and South London Cortisone injections for Carpal Tunnel Syndrome at our clinic We are a leading cortisone injection clinic offering steroid injections for pain from carpal tunnel syndrome. Steroid injections can bring significant relief from your condition and bring you much-needed respite from your condition. We offer private injections at our Central London and South London clinics and also offer home visits in the South London area. A free telephone consultation is available to understand whether injections will be helpful and appropriate in your particular case, and your appointment also includes a diagnostic ultrasound consultation to ensure your injection will be safe and give you maximum benefit. Booking is quick and easy, please see our book appointment page for more details. What is carpal tunnel syndrome? Carpal tunnel syndrome is a condition characterized by pain, numbness, tingling, and weakness in the hand and fingers. These symptoms result from compression of the median nerve due to swelling or inflammation of the tendons as it passes through the carpal tunnel, a narrow passage way in the wrist formed by bones and ligaments. Various factors, such as repetitive hand movements, prolonged use of vibrating tools, certain medical conditions (e.g., rheumatoid arthritis, diabetes), and pregnancy, can contribute to its development. Typical features of carpal tunnel syndrome include: Numbness or tingling in the thumb, index finger, middle finger, and inner part of the ring finger. Weakness or difficulty gripping objects. Discomfort or pain in the hand and wrist, which may radiate up the forearm Aggravated symptoms during activities that involve prolonged or repetitive use of the hands, such as typing, using a mouse, or holding a phone Night symptoms leading to disrupted sleep. Diagnosis typically involves a medical history review, physical examination, and, in some cases, ultrasound imaging and nerve conduction studies. More information can be found here . In order to ensure injection therapy is the right course of action in your particular case, we offer a free virtual consultation to get a quick picture of your health and the condition you are experiencing, and advise on whether steroid injections are a good course of action for you. At your appointment we will also carry out a full ultrasound-led diagnosis and assessment to ensure you are receiving the most appropriate treatment and best possible care. “Max is a highly trained, responsive, competent, communicative, and caring practitioner and person. He has successfully treated me for the management of knee pain and other arthritic conditions over the last 5-6 years enabling me to live a physically active life. I really cannot recommend Max highly enough.” Helena Davis, 55, Personal Assistant at Royal College of Psychiatrists What our patients say How do cortisone injections help with carpal tunnel syndrome? Recent medical research suggests that Ultrasound guided cortisone injections are effective and superior to non-guided injection for carpal tunnel syndrome. A cortisone injection can rapidly reduce pain, bringing much-needed relief and increased mobility. If you have found your sleep, work or other daily activities being hindered by your pain, a steroid injection can allow you the freedom to get back to work and normal life. Pain is not to be underestimated and when it becomes bad it can become debilitating and lead to depression. Pain can also lead to inactivity which can cause further problems such as postural and health issues, leading to even further inactivity, known as the chronic pain cycle . It is crucial to seek help when you are in pain and not simply try to live with it, as when left unchecked pain can cause gradual deterioration of both mental and physical health. All our treatments include a written report and guidance on moving forward with treating your problem following your injection, so that you can use the opportunity the injection gives to set yourself on a path to better health. We also include a personalised physiotherapy exercise plan wherever appropriate. For more information about cortisone injections and frequently asked questions, see our cortisone injections page . How much do cortisone injections cost? Our cortisone injections start at just £240 including initial telephone consultation, diagnostic ultrasound, ultrasound-guided injection, written report with care plan and exercise prescription if appropriate. See our fees Are cortisone injections a long-term solution for carpal tunnel syndrome? Corticosteroids have a short term effect (around 3 months) but a common belief is that cortisone injections do not address the underlying causes of your pain and will only stop the symptoms. First of all, your pain has a massive impact on your daily life and any relief, even temporary, can help significantly with your sleep, work or family activities, and as a result, improve your general well being and mental health. Fortunately, simple pathologies, even when causing severe pain, tend to improve overtime and by the time the steroid has stopped working, we expect that your body has healed by itself and the pain won't return. Secondly, the pain free period allowed by steroid injections (up to 3-6 months on average and sometime over 1 year) is a window that will be used to begin further treatment such as a prescribed exercise program or sessions of physiotherapy , in order to address other causative factors for your problems. In some cases steroid injections can also be a permanent solution by stopping chronic inflammation or disrupting your pain signal. More information about pain can be found on our blog . At your virtual consultation and first appointment , your clinician will ask questions and assess you to diagnose your problem and explain to you the options available. This will help you to understand how you can use the respite from pain which a corticosteroid injection provides, to work directly on your problem and provide you with a personalized exercise plan to avoid reliance on injections in the future. Your clinician All our injection treatments are carried out by our experienced physiotherapist and injection clinician, Maxence Legout. Max has over 15 years experience and holds a senior position in the NHS, where he carries out over 2000 ultrasound-guided injection & procedures every year. For more information please see our clinician page , or book a free online or telephone consultation to speak to Max directly. Read More What other treatments are available for carpal tunnel syndrome? After an acute carpal tunnel syndrome caused by recent repetitive strain or overuse, usually rest, activity modifications and painkilling treatments like over-the-counter medications or gels are often sufficient and 30% of carpal tunnel syndromes will resolve naturally overtime. The following treatments can be alternative, complementary or subsequent to cortisone injections : Physiotherapy and exercises such as neural mobilization can help modulate pain, helps improve flexibility, and promote healing with an exercise induced response anti-inflammatory activity. Wrist Splints during activities or at night to keep the wrist in a neutral position. Surgery (Carpal Tunnel Release) may be considered to relieve pressure on the median nerve in cases where conservative measures are not effective. Extracorporeal Shock Wave Therapy (ESWT) has been suggested as an option in medical research . The specific treatment approach depends on the type and severity of carpal tunnel syndrome, and it's crucial for individuals experiencing symptoms to seek professional medical advice for an accurate diagnosis and appropriate management MEDICAL REVIEW - The medical information on this page has been reviewed for accuracy by Maxence Legout, MSc, Physiotherapist . 10 New Cavendish St, London, W1G 8UL, England Our Central London clinic is based in The French Pharmacy in Marylebone. 3 min walk from Harley Street 8 min walk from Bond St tube 20 min from Victoria Pilates Studio in Lambeth 88 Atlantic Road, London, SW9 8PX, England 2 min from Brixton Underground Station 8 min from Pimlico via Victoria Line 15 min from Oxford Circus 27 min from King's Cross St Pancras Cortisone Injections at our Central London and South London Clinics We also provide home visits Book an Appointment Booking an appointment is easy. Simply choose an available slot for a free phone consultation and we'll do the rest. There are no long wait times and you can normally have your injection treatment within 3-4 days of first making contact. Book Appointment Now

South London Cortisone Injection Clinic Cortisone Injections in our South London Clinic We also provide home visits 2 min from Brixton Underground Station 8 min from Pimlico via Victoria Line 15 min from Oxford Circus 27 min from King's Cross St Pancras Body Alliance Pilates Studio in Lambeth 88 Atlantic Road, London, SW9 8PX, England Treatments Opening Hours Fees Public Transport Book Appointment Contact All our treatments are available in our South London clinic including diagnostic ultrasound , cortisone injections , hyaluronic acid injections , barbotage and dry needling . We also offer home visits in the South London area. We can see you Monday - Friday from 8am - 8pm and Saturdays from 9am - 12pm Our fees start at just £150 for a diagnostic ultrasound consultation and £240 for cortisone injections (including the diagnostic consultation). For a full list of fees please see our fees page . Our South London clinic is easily accessible on public transport, just a 2 minute walk from Brixton underground station. Many buses also stop within a couple of minutes walk, including the P4, P5, 2, 3, 35, 59, 109, 118, 133, 159, 196, 250, 333, 355, 415 and 432. For transport information use the Transport for London Journey Planner . We have made the booking process as simple as possible. Simply visit our book appointment page to select a convenient time for a free initial consultation, and we will see you then to book your in-person appointment. To contact us, please drop us an email from our contact page and we will be in touch as soon as possible.

FAQ & What to Expect Do I need to be referred to you by a doctor? No, you do not need a medical referral to contact us. You can contact us directly. What if I do not have online access ? Not a problem! We can also offer free first consultation over the phone, just request a call back and we will schedule the telephone consultation on our clinic hours. Is the first consultation free? Yes, We offer a free first consultation online that can be directly booked through our website. How soon can I get an appointment? You can book a same day appointment. Should I tell you if I scared of needles or of the procedure? That is absolutely fine, we are used to dealing my needle apprehension and phobia. Let us know about any needle phobia or intervention related anxiety as our care can be adapted. In general, it is important to discuss any concerns or questions you have about the procedure beforehand. We will provide you with information about what to expect, potential risks and benefits, and how to manage any discomfort during or after the procedure. What will you ask me during this consultation? During this consultation, we will collect some personal information (see our privacy policy), take your full medical history and assess if the service is appropriate for you. We will ask you specific questions to assist with the diagnosis, all of them are relevant to your current condition and will help us to get a precise idea of how to help. Will we cover every detail of a future procedure? Absolutely, if you are booked for a procedure, we will check for all possible contra indications and precautions or possible adverse reactions will be discussed. Can you answer all my questions during this consultation? Sure, we can answer any questions you might have. However, please note that no clinical recommendation or diagnosis can be given during this call. Do I need to pay for my face to face appointment? Yes, the full amount of the consultation fee is £150 and is due before your appointment. You will be sent an email to pay on a secured online payment platform. What should I bring to my face to face appointment? Please make sure you bring all recent relevant investigations or other consultants letters. You can also send them by email prior to the consultation. How do I book a face to face appointment? At the end of this initial consultation, you will be able to book your face to face appointment for physical assessment, ultrasound scan and procedures on the day of your choice in one of our clinics. Will I be explained my diagnosis and what to do next? You will be explained the diagnosis and offered a treatment plan. Should I wear any particular clothes for my face to face appointment ? Not particularly, but for your own comfort, you could wear comfortable clothes or bring something to get change if more convenient. What is a treatment plan? A treatment plan includes any ultrasound procedures. We might also prescribe exercises, suggest personal training, suggest physiotherapy or another specialist referral. How long is the face to face consultation? Each session can last up to 45 minutes. What sort of examination will you carry out? We will proceed to a thorough physical examination which might include palpation, neurological and/or orthopaedics tests. An ultrasound examination will be conducted to complete your assessment. Will I really feel heard and listened to? Absolutely, you will have our full dedication and attention. With Insight MSK, there is no rush, no judgement or generic management. Each person is unique and deserves a tailored commitment. What if I am scared of needles ? That is absolutely fine, we are used to dealing with needle apprehension and phobia. Patient anxiety and fear of needles can contribute to the perception of discomfort. Discussing concerns with the healthcare provider and employing relaxation techniques can help manage anxiety. While some individuals experience minimal pain, others may feel more discomfort. It's essential to communicate openly with your clinician about pain levels to ensure a comfortable and effective experience. Let us know about any needle phobia or intervention related anxiety as our care can be adapted. What are the contraindications to cortisone injections ? Like for any medical intervention, careful consideration of risks and benefits with your healthcare provider is crucial before opting for cortisone injections. Our absolute contraindications to cortisone injections are: 1. Previous allergic reaction to corticosteroids or local anaesthetics (corticosteroids can be injected without local anaesthetic). 2. Ongoing fever, feeling unwell or currently taking antibiotics (you can receive the injection after your course of antibiotics). 4. Recent trauma or fracture. 5. Osteoporosis near the injection site. 6. Injection in an unstable joint (dislocating regularly). 7. Injection into a prosthetic joint (e.g., Total knee replacement). 8. Any surgery planned in the next 6 weeks (including dental) or joint replacement in the next 9 months. 9. If you have received a live vaccine within 2 weeks prior to the injection or due to have it within the 2 weeks following the procedure. Typical live vaccines include Live-attenuated Influenza (LAIV) vaccines (flu), some COVID vaccines, Measles, Mumps & Rubella (MMR), Polio, Smallpox, Chickenpox, Yellow Fever, Japanese encephalitis, Shingles, Rotavirus. 10. You already had 3 injections in the same site on the past 12 months, or last injection was less than 3 months ago for a load bearing joint (knee, hip, ankle...) or 1 month for any other body part. 11. Pregnancy. 12. Under 18. Below is the list of precautions which need further attention prior to receive a corticosteroid injection: 1. If you are currently receiving treatment for cancer, HIV, Hepatitis C or currently take Disease-Modifying Anti-Rheumatic Drug (DMARD), you need approval of your consultant prior to receive a corticosteroid injection. 2. If you have glaucoma, your need approval from your optometrist prior to receive a corticosteroid injection. 3. If you are on anti-coagulants : Warfarin (Coumadin) : INR needs to be within patient’s therapeutic range and not greater than 3 within 48h prior to the procedure. You do not need to stop the warfarin. DOACs (Direct Oral Anticoagulants) such as Apixaban (Eliquis), Rivaroxaban (Xarelto), Edoxaban (Savaysa), Betrixaban (BevyxXa), Dabigatran (Pradaxa) do not need to be stopped. 3. If you are Diabetic and taking insulin, you need to have your HbA1c below 69mmol/mol (8,5%) within three months prior the injection. Corticosteroid injections can lead to transient hyperglycaemia and you will be advised to check your blood glucose level for up to a week after the injection. 4. If you have high blood pressure, you can experience a transient raise in blood pressure and you need to monitor it the 48h following the procedure. What are the risks associated with cortisone injections? Fortunately, serious side effects to corticosteroid injections are rare but like any drug or medical intervention there are risks such as anaphylaxis (life-threatening allergic reaction, which is extremely rare in response to injected steroid or local anaesthetics), infection (1 out of 50 000 patients), but more likely to occur if you suffer from diabetes, rheumatoid arthritis, Chronic Kidney Disease, HIV or if you take intra venous drugs. If the injected area becomes extremely painful, hot, red, swollen or that you develop fever or feel unwell after the injection it might indicate the presence of an infection. You should immediately attend an urgent care centre or your local A&E department. Less serious reaction can occur such as a temporary increased pain (20% of the cases), cosmetic changes to the skin including depigmentation or localized fat atrophy around the injection site, bruising around the injection site (more likely, if you are on blood thinning medications), tendon rupture, increased cartilage degeneration, numbness or tingling, abnormal vaginal bleeding, temporary facial flushing, mood disturbances or depression (if you or your family have a history of psychosis or bipolar disorders) and of course failure to work. Your clinician is trained to recognise and deal with severe immediate reaction and we are equipped with the appropriate first aid equipment. To minimise risks of side effects we advise rest for 48h (including driving) and you will be asked to wait up to 20 minutes in the waiting area. Will the ultrasound be painful ? No, ultrasound examinations are generally not painful but some positions might be temporarily uncomfortable. We encourage you to communicate any concerns with the healthcare provider to ensure a comfortable and informative experience. Will the injection/procedures be painful ? Injections can cause varying levels of discomfort. We use of a local anesthetic to minimize pain. When do I pay for the procedures? The fees for any additional procedures will be due at the end of the consultation (please see the page Services and fees for further details). Can I pay the fee of the consultation on the day of the face to face appointment? The fee for a face to face consultation is £150 and is to be paid in advance. How can I pay? We accept card or bank transfers. What happens after my appointment ? You can now follow your post-procedural recommendations and let the treatment work. What if you refer me to another service? Please note that a referral for private further imaging such as X-ray or MRI, prescription of medications (other than the one administered during the session) or a referral to another private specialist will induce extra costs charged by the provider independently from our service. Do I need to take a day or more days off? The need to take days off after a corticosteroid injection depends on several factors, including the reason for the injection, the specific area of the body involved, and individual responses to the treatment. In many cases, people are able to resume their normal activities relatively quickly after a corticosteroid injection. However, it's important to follow our expert's advice and not overexert the treated area. If you have concerns or experience unexpected symptoms after the injection, it's crucial to contact us for guidance. Will I get a written report of my consultation? Of course, a report will be sent to you as well as to any healthcare provider of your choice by secured email within 24h. Is there anything I will not be able to do after an injection ? The impact of corticosteroid injections on your activities can vary depending on several factors, including the specific condition being treated, the location of the injection, and individual responses to the medication. his is to allow the medication to take effect and to minimize stress on the treated area. You will be provided with specific post-injection instructions. This may include recommendations on rest, activity level, and any necessary follow-up appointments. Will you be available after my face to face appointment? Sure, we will stay available for you after the procedure if you have any questions. Will I feel anything after an injection ? After the procedure, some people may experience temporary soreness or discomfort, and we will recommend pain management strategies. 10 New Cavendish St, London, W1G 8UL, England Our Central London clinic is based in The French Pharmacy in Marylebone. 3 min walk from Harley Street 8 min walk from Bond St tube 20 min from Victoria Pilates Studio in Lambeth 88 Atlantic Road, London, SW9 8PX, England 2 min from Brixton Underground Station 8 min from Pimlico via Victoria Line 15 min from Oxford Circus 27 min from King's Cross St Pancras Cortisone Injections at our Central London and South London Clinics We also provide home visits Book a consultation